Individual
DANA BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
811 MADISON AVE, SPENCER, WV 25276-1900
(304) 927-0015
(304) 927-0017
Mailing address
300 KENTON DR, SUITE 200, CHARLESTON, WV 25311-1266
(304) 347-9818
(304) 347-9820
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
Primary
AP00943903
WV
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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